Single payer is the only answer with everything covered forever and everyone paying in forever. Severe regulation adds inherent costs that will offset any savings. The more bureaucratic this becomes, the more it will cost.
ETA - Dumping an additional 30million people onto an already taxed system with the prior planning, training, staff and facilities is going to be very bad - for how long is the only unknown.
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"like strapping a pillow on a bull in a china shop" Bullitt
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